Individual
MIRABEL NDUNGBOWOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 BLUE VALLEY DR, SILVER SPRING, MD 20904-5258
(240) 424-8633
Mailing address
2316 BLUE VALLEY DR, SILVER SPRING, MD 20904-5258
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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